HomeMy WebLinkAboutBuilding Permit 94-0410
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IUi 2 2 1994
TEMPORARY
CITY OF PRIOR LAKE
, j BUILDING PERMIT,
~ . TIFICATE OF ZONING COMPLIANCE
I ITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 1'1: -'fiO
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. I S
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) .c~'i
.,
5. ARCHITECT
PID :5 3 - l ':l L( - ~~O
a. K M&IA'
. ( (Tel. No.) 0
~\tQLe 51' Ll4 ~'+ t:; -,
(Tel. No.)
12. NO. OF STORIES
I
3. LEGAL DESCRIPTION
LOT { b
ADDITION ~U&~ v...s,
4. OWNE
~
BLOCK ~
I\.cu....~
6. BUILDER
,
:> M.
7. TYPE OF WORK
Septic 0
Addition f-
V
Heating 0 Plumbing 0
Finish Attic 0 Residing 0
(Tel. No.)
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 10. CULVERT SIZE
Sq. Ft. q, C('J. 0(:; Width /3Qo6 Depth \. 00 Yes No
I hereby certffy that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:u~-=.:.:~permit for J ~~ I hereby agree that the city official or a designee may enter upon the property to ~: 7~ i"??
Signature Ucense No. Date
Fireplace 0
Alterations 0
Reroofing, Porch 0
Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. ESTIMATED VALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
SETBACKS: Required
Actual
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING
?(,
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
2.
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
PERCOLATION TESTS 0
SETS
COPIES
Issued
Water Tap .......;p. ......i'}................ $
., ." /I- .,~- 2.Or.
BUilders Deposit . ................. ....... $
:: ~m;::;~:::~:=~,~Z~ ~.?-?l
Date 'y---;)-- r t( By I? m...S
he above application and accompanying documents is in accordance wtth the City Zoning Ordinance and may proceed as requested. This document when
es a temporary ce~~i o~ ~fomPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
. Oat Special Conditions ~ any
l[L.lo .3B
<ling Permit When Approved.
Date 9-1-? /
Check if
Deferred
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
TYPE OF CONSTRUCTION: I II 11I1
Occupancy Group A BEl ~
Division 1 () 4
Permit Fee ................................... $
City;
Plan Checking Fee ......................... $
{.J. '3:2. .60
'J. B L · f.3
2~. 7~
State Surcharge ............................. $
Penalty ....................................... $
Septic System............................... $
Other ......................................... $
o
o
24 Hour notice for all inspections 447-42309:00 a.m. .10:00 a.m.
tJ'f-lf/O
White - Building
Canary - Engineering
Pink - Planning
The Ceonler or the take Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
"
NAME OF APPLICANT c;J'rl/m.l j /~ !JLtfuJ./
APPLICATION RECEIVED ijd~1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
to tlJ t; .IE J~ -rJ);;;; 1=-;
Accepted
Accepted With Corrections
Denied ~
Reviewed By: - _ _. z.-z ,~----
- /
VI--
Date:
1-( -9cJ
Comments:
\, y.q(}..~\A~""- ~~id'v\. (J cfVL-~'1 \
? Q,~~ (Jv..-vcl r~ ~~ q,,~
S. <;SP.P ~\oc.\:- \-e..\""t:,~c.~ '9cLa .c..,\UL6
~c..cl
~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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CITY OF PRIOR LAKE
PLU ING PERMIT
i\ L L
",("/V\",,-
1. Blue File
2. Gold City
3. Yellow Applicant
# Clef-do 9
~ L// - if 7ft;
I . 'J (
r', Co l . t" .
Phone:
Applicant:
Address:
Signature:
Legal Descri ion: L
Site Address: ~f?'(Yl () .(? 11\.(2..<:' ....P
BuildingPermit# q'-(-~/6 PID# 5'3-1"2..4 -O~'7-~
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
'(\. ,c.,
Sub: I$ouJI\AS N1~/L~
Block
z
Unit
Quantity Type of Fixture Amount Total
Bath Tub with or without shower $ 6.00
Dishwasher $ 6.00
I Floor Drain $ 6.00 . C.)
o ---
,.-
Lavatory (bathroom sink) $ 6.00
J Laundry Tray (1 or 2 compartment sink) $ 6.00 {~, (t7'
Shower Stall $ 6.00
) Sinks: $ 6.00 {/] QC
Bar Sink $ 6.00
Water Closet (toilet) $ 6.00
Rough-ins $ 6.00
Water Heater $ 6.00
Water Softner $ 6.00
Stand Pipe (washing machine) $ 6.00
Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backflow Assembly Test $10.00
Lawn Sprinkler $25.00
Other $ 6.00
Minimum Fee $25.00
SURCHARGE .50
GRANDTOTAL~....:l ~- i:...,V
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
~ . . 0 }~.ECE!PT NO. 7\;2- ?' r DATE
ATIEST
C for all inspections 24 hours in advance.
4629 Dakota SI. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
l/ly ~I D
White - Building
Canary - Engineering
Pink - Planning
Th~ C~nter of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT dt; ,,,' j t"...- L31.J'rY'
APPLICATION RECEIVED i/ :;22/? tj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
10 f /) 9 );;}J 4f/ T-JJ;;;~ .r
/
Accepted
Accepted With Corrections
Denied
Reviewed By: -Y< tJ...l1l./f1
Comments: il tJ/fL/
Date: Fj,2/p,/rt/
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
White - Building
Canary - Engineering
Pink - Planning
The Crnttr of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
., ( i (I 1
NAME OF APPLlCANT..~/ /! ,; t _ j .Ii (, . ./'
,i i
APPLICATION RECEIVED /f))!? t./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, .:> t, /{
{/' ~, (... j
/"-',. .' /~- .~/-
,f,\t./ ..j,/I.--I' ._
Accepted
Accepted With Corrections
~. CW flL^ ~-Jj
C~JJ-'
Denied .~
Reviewed B~ Date: b- d~ 91
Comments: -rN / ill).. I .p /c<<- e /.uJ a.:tz~ l'7U/.sl-1M a:I
at- ~ 909. 3 - C ,&U:t.!IUl ~(}VrY1K/7~
fYW<{ IK fU'M1U/) J'1Ot c o.j)7; -#J ~l
bw tJ.J/IY ~u--J. 1/)/ffUVpastJ ~
/[JlJ~~/cMJWrJd .
. D
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."